Radiology Service Codes Spreadsheet as of August 1, 2021 Note: Procedure codes and their corresponding descriptions are obtained from the AMA 2020 CPT and HCPCS. Code NFAC FAC Global PC TC Description 70010 - - $46.52 - - Myelography, posterior fossa, radiological supervision and interpretation 70015 - - $130.09 $45.79 $84.30 Cisternography, positive contrast, radiological supervision and interpretation 70030 - - $24.71 $6.49 $18.21 Radiologic examination, eye, for detection of foreign body 70100 - - $29.32 $7.05 $22.27 Radiologic examination, mandible; partial, less than 4 views 70110 - - $33.79 $9.78 $24.01 Radiologic examination, mandible; complete, minimum of 4 views 70120 - - $29.32 $7.05 $22.27 Radiologic examination, mastoids; less than 3 views per side 70130 - - $47.72 $13.28 $34.45 Radiologic examination, mastoids; complete, minimum of 3 views per side 70134 - - $45.16 $13.61 $31.55 Radiologic examination, internal auditory meati, complete 70140 - - $24.95 $7.89 $17.06 Radiologic examination, facial bones; less than 3 views 70150 - - $36.66 $10.33 $26.33 Radiologic examination, facial bones; complete, minimum of 3 views 70160 - - $29.06 $6.78 $22.27 Radiologic examination, nasal bones, complete, minimum of 3 views 70170 - - - $11.39 $187.19 Dacryocystography, nasolacrimal duct, radiological supervision and interpretation 70190 - - $30.70 $8.71 $21.98 Radiologic examination; optic foramina 70200 - - $37.19 $10.86 $26.33 Radiologic examination; orbits, complete, minimum of 4 views 70210 - - $24.71 $6.78 $17.92 Radiologic examination, sinuses, paranasal, less than 3 views 70220 - - $29.22 $8.69 $20.53 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views 70240 - - $26.69 $7.60 $19.08 Radiologic examination, sella turcica 70250 - - $28.45 $7.92 $20.53 Radiologic examination, skull; less than 4 views 70260 - - $35.16 $11.15 $24.01 Radiologic examination, skull; complete, minimum of 4 views 70300 - - $10.97 $4.35 $6.62 Radiologic examination, teeth; single view 70310 - - $31.40 $5.94 $25.46 Radiologic examination, teeth; partial examination, less than full mouth 70320 - - $44.58 $8.98 $35.60 Radiologic examination, teeth; complete, full mouth 70328 - - $26.71 $7.05 $19.66 Radiologic examination, temporomandibular joint, open and closed mouth; unilateral 70330 - - $41.35 $9.51 $31.84 Radiologic examination, temporomandibular joint, open and closed mouth; bilateral 70332 - - $64.87 $20.86 $44.01 Temporomandibular joint arthrography, radiological supervision and interpretation 70336 - - $298.41 $56.87 $241.54 Magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 70350 - - $13.69 $7.07 $6.62 Cephalogram, orthodontic 70355 - - $15.07 $8.16 $6.91 Orthopantogram (eg, panoramic x-ray) 70360 - - $24.39 $7.05 $17.35 Radiologic examination; neck, soft tissue Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification 70370 - - $71.29 $11.34 $59.95 technique 70371 - - $85.44 $32.74 $52.70 Complex dynamic pharyngeal and speech evaluation by cine or video recording 70380 - - $28.77 $6.49 $22.27 Radiologic examination, salivary gland for calculus 70390 - - $90.52 $14.63 $75.89 Sialography, radiological supervision and interpretation 70450 - - $91.84 $32.76 $59.08 Computed tomography, head or brain; without contrast material 70460 - - $129.99 $43.37 $86.62 Computed tomography, head or brain; with contrast material(s) Computed tomography, head or brain; without contrast material, followed by contrast 70470 - - $152.50 $48.78 $103.72 material(s) and further sections Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without 70480 - - $139.14 $49.05 $90.09 contrast material Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with 70481 - - $179.26 $43.37 $135.89 contrast material(s) Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without 70482 - - $194.77 $48.49 $146.28 contrast material, followed by contrast material(s) and further sections 70486 - - $111.26 $33.05 $78.21 Computed tomography, maxillofacial area; without contrast material 70487 - - $133.18 $43.37 $89.80 Computed tomography, maxillofacial area; with contrast material(s) Computed tomography, maxillofacial area; without contrast material, followed by contrast 70488 - - $162.64 $48.78 $113.86 material(s) and further sections 70490 - - $130.74 $49.34 $81.40 Computed tomography, soft tissue neck; without contrast material 70491 - - $161.50 $53.15 $108.35 Computed tomography, soft tissue neck; with contrast material(s) Computed tomography, soft tissue neck; without contrast material followed by contrast 70492 - - $195.27 $62.57 $132.70 material(s) and further sections Computed tomographic angiography, head, with contrast material(s), including noncontrast 70496 - - $213.45 $67.18 $146.28 images, if performed, and image postprocessing Computed tomographic angiography, neck, with contrast material(s), including noncontrast 70498 - - $213.45 $67.18 $146.28 images, if performed, and image postprocessing 70540 - - $277.15 $51.48 $225.67 Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s) 70542 - - $431.34 $62.57 $368.77 Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s) Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), 70543 - - $471.81 $82.14 $389.67 followed by contrast material(s) and further sequences 70544 - - $295.37 $46.06 $249.31 Magnetic resonance angiography, head; without contrast material(s) 70545 - - $317.29 $46.06 $271.23 Magnetic resonance angiography, head; with contrast material(s) Magnetic resonance angiography, head; without contrast material(s), followed by contrast 70546 - - $488.62 $57.16 $431.46 material(s) and further sequences 70547 - - $296.18 $46.35 $249.83 Magnetic resonance angiography, neck; without contrast material(s) Page 1 of 17 Radiology Service Codes Spreadsheet as of August 1, 2021 Note: Procedure codes and their corresponding descriptions are obtained from the AMA 2020 CPT and HCPCS. Code NFAC FAC Global PC TC Description 70548 - - $350.24 $57.69 $292.55 Magnetic resonance angiography, neck; with contrast material(s) Magnetic resonance angiography, neck; without contrast material(s), followed by contrast 70549 - - $501.87 $69.37 $432.50 material(s) and further sequences Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast 70551 - - $265.46 $57.16 $208.30 material 70552 - - $331.04 $68.55 $262.49 Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s) Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast 70553 - - $465.47 $88.08 $377.39 material, followed by contrast material(s) and further sequences Magnetic resonance imaging, brain, functional MRI; including test selection and administration 70554 - - $370.32 $81.07 $289.25 of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist 70555 - - - $96.74 - administration of entire neurofunctional testing Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during 70557 - - - $123.41 $386.60 open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without contrast material Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during 70558 - - - $132.71 $146.32 open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); with contrast material(s) Magnetic resonance (eg, proton) imaging, brain (including brain stem and skull base), during 70559 - - - $126.37 $146.32 open intracranial procedure (eg, to assess for residual tumor or residual vascular malformation); without contrast material(s), followed by contrast material(s) and further sequences 71045 - - $20.34 $7.05 $13.29 Radiologic examination, chest; single view 71046 - - $26.03 $8.40 $17.63 Radiologic examination, chest; 2 views 71047 - - $32.87 $10.60 $22.27 Radiologic examination, chest; 3 views 71048 - - $35.67 $12.53 $23.14 Radiologic examination, chest; 4 or more views 71100 - - $28.35 $8.69 $19.66 Radiologic examination, ribs, unilateral; 2 views 71101 - - $32.58 $10.31 $22.27 Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views 71110 - - $34.27 $11.42 $22.85 Radiologic examination, ribs, bilateral; 3 views 71111 - - $40.86 $12.50 $28.36 Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views 71120 - - $26.08 $7.87 $18.21 Radiologic examination; sternum, minimum of 2 views 71130 - - $31.83 $8.69 $23.14 Radiologic examination; sternoclavicular joint or joints, minimum of 3 views 71250 - - $125.86 $44.46 $81.40 Computed tomography, thorax; without contrast material 71260 - - $156.63 $47.99 $108.64 Computed tomography, thorax; with contrast material(s) Computed tomography, thorax; without contrast material, followed by contrast material(s) and 71270 - - $185.56 $52.86 $132.70 further sections 71271 - - $209.27 $41.23 $168.04 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) Computed tomographic angiography, chest (noncoronary), with contrast material(s), including 71275 - - $216.18 $69.90 $146.28 noncontrast images, if performed, and image